Article
Volar locking fixation for distal radius fracture in patients with concurrent hip fractures: A matched pair analysis of elderly patients
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Authors
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Hyoung Seok Jung
- Hospital of Chung-Ang University of Medicine, Seoul, South Korea
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Jae Sung Lee
- Hospital of Chung-Ang University of Medicine, Seoul, South Korea
| Published: | February 6, 2020 |
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Outline
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Objectives/Interrogation: To describe the outcomes of operative treatment with volar locking plates in patients with distal radius fractures with concurrent hip fractures and to identify differences in these patients in comparison to a matched control group of patients with isolated distal radius fractures.
Methods: From January 2010 to December 2016, twenty-eight patients who met the criteria of both hip and distal radius fractures were retrospectively reviewed for analysis. Twenty-eight matched patients during the same period were recruited from a cohort of patients who underwent volar locking plate fixation for isolated distal radius fractures. To perform the matched-paired analysis, patients were matched for age, sex, body mass index, fracture type, and bone mineral density (BMD). Radiological assessment including radial inclination, radial length, and volar tilt was performed to evaluate loss of reduction. We also examined range of motion, grip strength, visual analog scale (VAS) and quick Disabilities of the Arm, Shoulder and Hand (DASH) score.
Results and Conclusions: In all patients, the distal radius fractures were ipsilateral to the hip fractures. According to radiological assessment, there were no significant differences between the groups at an immediate post-operative time. At the time of final follow-up, however, there were significant differences in radial length and radial inclination, and all radiological parameters were better in the control group in comparison to the study group. Wrist range of motion was not significantly different between the groups. Furthermore, no difference in pain scores and functional status were detected between the groups based on the VAS and quick DASH scores, respectively. However, grip strength was better in the control group compared with study group.
In conclusion, while volar locking plating provides greater stabilization for distal radius fractures, loss of reduction can occur in patients who have sustained simultaneous hip and distal radius fractures although it was not associated with functional outcomes.
